<div class="form_login" style="margin-top: 5px;">
    <h1 class="title"><?php echo __('IP_contact_title') ?></h1>
    <div class="content">
        <?php echo $this->load->view('powercms/message'); ?>
        <div class="clear"></div>
        <div class="form">
            <?php echo form_open($submit_uri); ?>       
            <table style="float: left;padding-bottom: 10px;width: 100%;" class="table">
                <tbody>
                    <tr>
                        <td><input placeholder="<?php echo __("IP_fullname"); ?>" type="text" style="width: 300px;" maxlength="30" value="" name="name"> <span>*</span></td>
                    </tr>
                    <tr>
                        <td><input placeholder="<?php echo __("IP_email"); ?>" type="text" maxlength="50" style="width: 300px;" value="" name="email"> <span>*</span></td>
                    </tr>
                    <tr>
                        <td><input placeholder="<?php echo __("IP_phone"); ?>"  type="text" maxlength="50" style="width: 300px;" value="" name="phone"> <span>*</span></td>
                    </tr>
                    <tr>
                        <td><textarea placeholder="<?php echo __("IP_content"); ?>" style="height: 150px; width: 375px;" rows="10" cols="40" name="content"></textarea> </td>
                    </tr>
                    <tr>
                        <td><input placeholder="<?php echo __("IP_capcha"); ?>" type="text" maxlength="10" size="35" value="" name="security_code"> <span>*</span>
                            <br><img src="/security_code" style="margin-left: 5px;margin-top: 5px; width: auto;"></td>
                    </tr>
                    <tr>
                        <td colspan="2">
                            <input type="submit" value="<?php echo __('IP_send_contact'); ?>" class="button">
                        </td>
                    </tr>
                </tbody>
            </table>
            <?php echo form_close(); ?>
        </div>
    </div>
</div>